Intestines-histo Flashcards

1
Q

what is the function of the SI

A

absorption

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2
Q

What are the 3 magnitudes of folding of the SI

A

microvilli, villi and plicacirculares

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3
Q

describe microvilli

A

cytoplasmic projections of cell membrane- simple columnar epitheliums

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4
Q

What is the structure of villi

A

evaginations of mucosa with a core of lamina propria that project into the lumen

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5
Q

what do villi look like in the 3 parts of SI

A

duodenum- broad short and leaf like
jejunum- tongue like projections
in ileum- tall, narrow, finger-like projections

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6
Q

what is the structure of plicae circulares

A

circular folds of entire mucosa with a core of submucosa

permanent projections into lumen

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7
Q

where are plicae circulares most prominent

A

distal duodenum and proximal jejunum

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8
Q

what are the 3 categories of glands in SI

A

exocrine, submucosal and intestinal crypts

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9
Q

what are the exocrine glands of the SI

A

pancreas and liver

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10
Q

what are the submucosal glands of the SI

A

duodenal

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11
Q

Whar are the intestinal crypts of the SI

A

epithelium invaginating into lamina propria in small and large intestine

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12
Q

Whar type of epithelium is the SI

A

simple columnar epithelium replaced every 3-7 days

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13
Q

what cells are present in SI epithelium

A
absorptive columnar with microvilli
goblet cells
lymphocytes
enteroendocrine cells
paneth cells
M cells
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14
Q

What are enteroendocrine cells

A

secrete product into vascular channels in lamina propria

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15
Q

What products do enteroendocrine cells secrete

A
incretins (K cells)
GIP (L cells)
serotonin (enterochromaffin cells)
somatostatin
motilin
cholecystokinin
neurotensin
VIP
substance P
endorphins
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16
Q

where are paneth cells found

A

in the base of intestinal crypts

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17
Q

describe characterizations of paneth cells

A

large acidophilic granules

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18
Q

what do paneth cells secrete

A

lysozyme and peptide defensins

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19
Q

what is the role of lysozymes and peptide defensins

A

degrade bacterial cell wall components

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20
Q

What are M cells and what is their role

A

specialized cells in epithelium that are part of innate and classic immune system because the actively capture and transport Ag to APCs and B cells in lamina propria

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21
Q

describe the lamina propria structure and function of AI

A

loose CT prone to lymphoid infiltration so have lots of plasma cells that can produce IgA
also have lots of capillaries”lacteals” that begin blindly in the villi
have lymph nodules called peyers patches

22
Q

where are peyers patches most prominent in SI

A

ileum and maybe lower jejunum

23
Q

Where are M cells most prevalent in SI

A

ileum and l=maybe lower jejunum

24
Q

Describe the layers of the SI wall

A

submucosa with lymphocytes and peyers patches
muscularis externa
serosa

25
describe the serosa of the 3 parts of SI
duodenum has serosa anteriorly because retroperitoneal | ileum and jéjunum have serosa continuous with supporting mesentery
26
What is the ileocecal junction
ileum joins large intestine
27
what structures make up the ileocecal junction
folds of mucosa and submucosa supported by muscularis externa
28
the cecum is structurally identical to what part of gut
large intestine- colon
29
What type of cells are found in the appendix
intestinal crypts of enteroendocrine cells and paneth cells
30
describe the epithelium of appendix
simple columnar epithelium with goblet cells
31
describe layers of appendix wall
muscularis mucosa is incomplete submucosa is thick thin 2 layered muscularis externa typical serosa
32
Are there villi on the large intestine
no
33
What are the intestinal crypts called in large intestine
crypts of lieberkuhn
34
describe the intestinal crypts of the large intestine
longer and more closely packed than in SI | have some enteroendocrine cells and no paneth cells
35
What is the surface epithelium like in the large intestine
simple columnar but many many goblet cells and no digestive enzymes are secreted
36
why are there numerous goblet cell sin large intestine compared to small
fecal matter is solidified now and needs lubrication
37
instead of plica circulates, what is in the large intestine
plica semilunares that form haustra
38
describe the muscularis externa layer of the large intestine
inner layer completely encircles submucosa | outer longitudinal layer in 3 longitudinal bands
39
what is the name of the 3 longitudinal bands of the outer layer of muscularis externa
taeniae coli
40
describe the serosa of the large intestine
on anterior surface but not posterior
41
what is the name of the small sacs of fat on the large intestine
epiploic appendages
42
describe the muscularis externa of the rectum
complete and there are no taeniae coli anymore because form outer m layer
43
describe serosa of rectum
upper 1/3 is intraperitoneal and has serosa anterior surface in middle 1/3 has serosa becase retroperitoneal lower 1/3 does not have serosa because extraperitoneal now
44
What are the plicae transversales of the rectum
transverse folds of mucosa that bulge into lumen 2 on left 1 on right
45
where is the rectoanal junction
where rectum pierces perineum
46
Describe the changes at the rectoanal junction
intestinal crypts decrease in number till they disappear and the mucous membrane forms longitudinal folds known as rectal columns
47
how does epithelium change across pectinate line
simple columnar becomes stratified squamous non cornfield and becomes continuous with the skin
48
describe the submucosal Ct of the anal canal
subepithelial circumanal glands longitudinal thin walled vv (hemorrhoidal vv)
49
Describe the muscularis externa of the anal canal
internal layer thickens to form internal anal sphincter | external sphincter is formed by skel m
50
Where is the anal verge
caudal portion of anal canal
51
what is the epithelium like at the anal verge
stratified squamous keratinized with sweat glands, hair follicles, sebaceous glands